Buscema M, Rabuazzo A M, Vinci C, Caltabiano V, Vigneri R, Purrello F
Institute of Internal Medicine, Metabolism and Endocrinology, University of Catania Medical School, Italy.
Diabetologia. 1993 Sep;36(9):791-6. doi: 10.1007/BF00400351.
In vitro islet exposure to interleukin 1 beta inhibits the beta-cell response to glucose. We have studied whether a similar inhibition also occurs in response to the sulphonylurea glyburide. Rat pancreatic islets were cultured for 24 h in the presence or absence of 50 U/ml interleukin 1 beta and then stimulated with either glucose or glyburide for 1 h at 37 degrees C. In control islets basal insulin secretion was 117 +/- 32 pg.islet-1.h-1 (mean +/- SEM, n = 7) and greatly increased in response to 16.7 mmol/l glucose (2140 +/- 293) or 10 mumol/l glyburide (1464 +/- 234). When islets were pre-exposed to interleukin 1 beta, insulin release was significantly reduced in response to glucose (323 +/- 80, p < 0.001) but not in response to glyburide (1316 +/- 185). Since both glucose and glyburide influence beta-cell K+ and Ca2+ efflux, to further investigate this different response in islets exposed to interleukin 1 beta we measured both Rb+ efflux (as index of the ATP-sensitive K+ channel activity) and Ca2+ uptake. In control islets, the increased insulin secretion in response to 16.7 mmol/l glucose or 10 mumol/l glyburide was associated with a reduction of 86Rb efflux (decrement of -50 +/- 1.2% and -49 +/- 2.3%, respectively, mean +/- SEM, n = 5). In contrast, in interleukin 1 beta pre-exposed islets both glucose and glyburide stimulation only slightly modified 86Rb efflux (decrement of -19 +/- 1.9% and -5.3 +/- 3.1%, respectively, n = 5, p < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
体外胰岛暴露于白细胞介素1β会抑制β细胞对葡萄糖的反应。我们研究了对磺脲类药物格列本脲的反应是否也会出现类似的抑制作用。将大鼠胰岛在存在或不存在50 U/ml白细胞介素1β的情况下培养24小时,然后在37℃下用葡萄糖或格列本脲刺激1小时。在对照胰岛中,基础胰岛素分泌为117±32 pg·胰岛⁻¹·小时⁻¹(平均值±标准误,n = 7),对16.7 mmol/l葡萄糖(2140±293)或10 μmol/l格列本脲(1464±234)的反应时显著增加。当胰岛预先暴露于白细胞介素1β时,对葡萄糖的胰岛素释放显著减少(323±80,p < 0.001),但对格列本脲的反应则未减少(1316±185)。由于葡萄糖和格列本脲都会影响β细胞的钾离子和钙离子外流,为了进一步研究暴露于白细胞介素1β的胰岛中的这种不同反应,我们测量了铷离子外流(作为ATP敏感性钾通道活性的指标)和钙离子摄取。在对照胰岛中,对16.7 mmol/l葡萄糖或10 μmol/l格列本脲的胰岛素分泌增加与⁸⁶Rb外流减少相关(分别减少-50±1.2%和-49±2.3%,平均值±标准误,n = 5)。相比之下,在预先暴露于白细胞介素1β的胰岛中,葡萄糖和格列本脲刺激仅轻微改变了⁸⁶Rb外流(分别减少-19±1.9%和-5.3±3.1%,n = 5,p < 0.001)。(摘要截短于250字)